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Educational strategies for optimal and safe learning in patients with rheumatic conditions: a scoping review

Authors

Abstract

Introduction: In Chile, rheumatic pathologies affect between 15% and 40% of the population, displaying a unique epidemiological profile in which nursing education plays a cross-cutting role. However, limited learning outcomes have been observed among rheumatology patients. Objective: To explore the educational strategies implemented in nursing to achieve optimal and safe learning outcomes tailored to the needs of individuals with rheumatic diseases. Methods: A literature search was conducted across SciELO, LILACS, the Latin American Repository Network, and PubMed for the 2012-2014 period. Keywords included "Rheumatology," "Nursing," and "Nursing Education." Articles were screened using these inclusion criteria: published within the past 12 years; available in Spanish, English, or Portuguese with full-text access; relevant to rheumatology care in inpatient or outpatient settings; and free access for Universidad de Chile students. Exclusion criteria included articles on pediatric rheumatology, non-open-access content, or paid articles. Studies were appraised using the CASPe tool and narratively synthesized, with results presented in tables and a synthesis matrix. Results: Eight educational strategies were identified from nine selected articles: a holistic approach grounded in popular knowledge, fostering introspective dialogue, pain assessment, pharmacologic and non-pharmacologic treatment, role empowerment, interdisciplinary work, and introspective analysis. These strategies were grouped into three categories: those centered on the patient's context and being, those related to treatment with and without medication, and those involving complementarity and interdisciplinarity. Conclusions: This review identified educational strategies that support effective learning among patients with rheumatic diseases. Future research should expand database sources to include humanistic literature and materials without full-text access.

Keywords:

Rheumatology, Nursing, Education, Nursing, Learning, Culture

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